牙体缺损桩核修复的贝叶斯网状Meta分析  

BAYESIAN NETWORK META ANALYSIS OF POST CORE RESTORATION OF TOOTH DEFECTS

作　　者：唐伟华[1] 曹煜隆 单娇 龚志忠 Tang Weihua;Cao Yulong;Shan Jiao(Department of Stomatology,Aerospace Center Hospital,Beijing 100049,China)

机构地区：[1]航天中心医院口腔科,北京市100049 [2]北京大学人民医院院感办 [3]北京积水潭医院疾控处 [4]清华大学医院管理研究院

出　　处：《中国煤炭工业医学杂志》2019年第6期640-644,共5页Chinese Journal of Coal Industry Medicine

摘　　要：目的采用贝叶斯网状Meta分析的方法评价各种牙体大面积缺损桩核修复方法的效果,为临床应用提供指导。方法计算机系统检索国内外数据库关于根管治疗后桩核修复的随机对照试验,根据纳入与排除标准各自筛选文献、提取数据和文献质量评价后,使用STATA15.1软件network程序包统计分析进行贝叶斯网状Meta分析。结果最终纳入28个研究,共4 005颗患牙,修复失败患牙465颗。贝叶斯网状Meta分析结果显示氧化锆桩与纤维桩显著优于无修复桩与金属桩,但氧化锆桩、纤维桩与无修复桩、金属桩相互之间的比较差异无统计学意义。结论目前证据表明,对于牙体大面积缺损桩核修复的材质首先推荐选择氧化锆桩与纤维桩,金属桩次之,氧化锆桩与纤维桩目前文献研究显示无区别,仍需更多高质量、大样本研究进一步证实。Objective To evaluate the effective of different post and core techniques on restoration of endodontically treated teeth.by bayesian network Meta-analysis,and to provide guidance for clinical application.Methods Randomized controlled trials on failure of different post and core restorations in treatment of endodontically treated teeth were searched in computer database.Bayesian network Meta-analysis was carried out with STATA 15.1 Software network package after selecting literature,extracting data,and evaluating quality according to inclusion and exclusion criteria.Results A total of four thousand and five teeth in 28 studies were included,and 465 were repair failed.The calculate results of bayesian network Meta-analysis showed that zirconia and fiber piles are significantly better than unrepaired piles and Metal piles,but there is no statistically significant difference between zirconia,fiber piles and unrepaired piles and Metal piles.Conclusion The current evidence shows that for the material repair of tooth defects,it is recommended to select zirconia piles and fiber piles.However,it still need more high-quality,large sample study to confirm.

关 键 词：牙体缺损 桩核修复 网状Meta分析 

分 类 号：R783.3[医药卫生—口腔医学]